Traumatic Brain Injury (TBI) Registry

System Management Guide

Increment 1.0 Version 4.2 July 2015

Department of Veterans Affairs Office of Information and Technology (OIT) Product Development

Revision History

Review Issue Version Description Author Reviewer(s) Type Date 4.2 Reviewed for TBI Enhancements REDACTED Increment 1. No updates 7/7/15 necessary. 4.1 Updated for Increment 5 release REDACTED Technical 5/6/14 and refined formatting. 4.0 Final Version REDACTED REDACTED Peer 5/1/12 1.0 Final Version REDACTED REDACTED Peer 9/09/11

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Table of Contents 1 Preface ...... 2 1.1 Typographical Conventions Used in the Manual ...... 2 1.2 The Traumatic Brain Injury Registry Application ...... 3 1.3 Purpose of the Manual ...... 3 1.4 Recommended Users ...... 3 2 Background ...... 4 3 Technical Overview ...... 4

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List of Tables Table 1 - Typographical Conventions ...... 2 Table 2 - Graphical Conventions...... 2

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1 Preface

1.1 Typographical Conventions Used in the Manual Throughout this document, the following fonts and other conventions are used: Table 1 - Typographical Conventions Font Used for… Examples: Blue text, underlined Hyperlink to another document or URL REDACTED Green text, dotted Hyperlink within this document See Release History for details. underlining Courier New Patch names, VistA filenames Patch names will be in this font Franklin Gothic Demi Keyboard keys < F1 >, < Alt >, < L > Web application panel, pane, tab, Other Registries panel and button names [Delete] button Microsoft Sans Serif Software Application names Traumatic Brain Injury (TBI) Registry names TBI Microsoft Sans Serif Database field names Mode field bold Report names National Summary Report Organization and Agency Names DoD, VA Microsoft Sans Serif, Read-only fields Procedures 50% gray and italics Times New Roman Normal text Information of particular interest Times New Roman Text emphasis “It is very important . . .” Italic National and International Standard International Statistical Classification of names Diseases and Related Health Problems Document names Traumatic Brain Injury (TBI) Registry User Manual Table 2 - Graphical Conventions Graphic Used for…

Information of particular interest regarding the current subject matter.

A tip or additional information that may be helpful to the user.

A warning concerning the current subject matter.

Information about the history of a function or operation; provided for reference only.

Indicates an action or process which is optional

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Graphic Used for… Indicates a resource available either in this document or elsewhere

1.2 The Traumatic Brain Injury Registry Application

The Traumatic Brain Injury Registry application (TBI Registry) supports the maintenance of local and national registries for clinical and resource tracking of care for such Veterans. The TBI Registry software application allows case managers to identify Veterans who participated in Operation Enduring Freedom (OEF) or Operation Iraqi Freedom (OIF) and who sustained a head injury and thus are potential traumatic brain injury (TBI) patients. The TBI Registry permits the case manager to oversee and track the comprehensive evaluation of these patients. It also provides 17 types of reports used for tracking the evaluation and care of individuals identified as possible TBI candidates.

1.3 Purpose of the Manual This System Management Guide provides the technical details for the TBI Registry, which has been developed for the Department of Veterans Affairs (VA) in support of Veterans who are potential TBI patients.

1.4 Recommended Users

The TBI Registry software is designed for use by designated case managers who are responsible for screening and overseeing the records of patients both seen and not seen for the comprehensive TBI evaluation.

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2 Background

The Veterans Health Administration (VHA) is charged with supporting the Presidential Task Force on Returning Global War on Terror Heroes. The Task Force has stated in the Global War on Terror (GWOT) report (recommendation P-7) that the Department of Veterans Affairs (VA) shall “create a ‘Traumatic Brain Injury’ Surveillance Center and Registry to monitor returning service members who have possibly sustained head injury and thus may potentially have a traumatic brain injury in order to provide early medical intervention.” The Traumatic Brain Injury (TBI) Registry software application collects data on the population of Veterans who participated in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF). These individuals need to be seen within 30 days for a comprehensive TBI evaluation. Each facility can produce local reports (information related to patients evaluated and treated in their system). 3 Technical Overview

TBI is a component of the Converged Registries Solution (CRS). Refer to CRS technical documentation in TSPR REDACTED

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